ICD-10 Clinical Concepts for Family Practice
Common ICD-10 Codes for family practice providers.
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Abdominal Pain
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R10.0Acute abdomen Billable
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R10.10Upper abdominal pain, unspecified Billable
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R10.11Right upper quadrant pain Billable
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R10.12Left upper quadrant pain Billable
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R10.13Epigastric pain Billable
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R10.2Pelvic and perineal pain Billable
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R10.30Lower abdominal pain, unspecified Billable
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R10.31Right lower quadrant pain Billable
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R10.32Left lower quadrant pain Billable
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R10.33Periumbilical pain Billable
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R10.84Generalized abdominal pain Billable
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R10.9Unspecified abdominal pain * Billable
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Acute Respiratory Infections
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J02.8Acute pharyngitis due to other specified organisms Billable
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J02.9Acute pharyngitis, unspecified * Billable
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J06.9Acute upper respiratory infection, unspecified * Billable
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J20.0Acute bronchitis due to Mycoplasma pneumoniae Billable
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J20.1Acute bronchitis due to Hemophilus influenzae Billable
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J20.2Acute bronchitis due to streptococcus Billable
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J20.3Acute bronchitis due to coxsackievirus Billable
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J20.4Acute bronchitis due to parainfluenza virus Billable
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J20.5Acute bronchitis due to respiratory syncytial virus Billable
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J20.6Acute bronchitis due to rhinovirus Billable
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J20.7Acute bronchitis due to echovirus Billable
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J20.8Acute bronchitis due to other specified organisms Billable
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J20.9Acute bronchitis, unspecified * Billable
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Back and Neck Pain
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Chest Pain
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Diabetes Mellitus w/o Complications Type 2
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E11.9Type 2 diabetes mellitus without complications Billable
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General Medical Examination
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Z00.00Encounter for general adult medical examination without abnormal findings Billable
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Z00.01Encounter for general adult medical examination with abnormal findings Billable
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Z12.4Encounter for screening for malignant neoplasm of cervix Billable
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Z12.5Encounter for screening for malignant neoplasm of prostate Billable
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Headache
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Hypertension
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Pain in Joint
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M25.50Pain in unspecified joint * Billable
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M25.511Pain in right shoulder Billable
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M25.512Pain in left shoulder Billable
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M25.519Pain in unspecified shoulder * Billable
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M25.521Pain in right elbow Billable
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M25.522Pain in left elbow Billable
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M25.529Pain in unspecified elbow * Billable
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M25.531Pain in right wrist Billable
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M25.532Pain in left wrist Billable
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M25.539Pain in unspecified wrist * Billable
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M25.551Pain in right hip Billable
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M25.552Pain in left hip Billable
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M25.559Pain in unspecified hip * Billable
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M25.561Pain in right knee Billable
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M25.562Pain in left knee Billable
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M25.569Pain in unspecified knee * Billable
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M25.571Pain in right ankle and joints of right foot Billable
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M25.572Pain in left ankle and joints of left foot Billable
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M25.579Pain in unspecified ankle and joints of unspecified foot * Billable
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Pain in Limb
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M79.601Pain in right arm Billable
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M79.602Pain in left arm Billable
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M79.603Pain in arm, unspecified * Billable
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M79.604Pain in right leg Billable
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M79.605Pain in left leg Billable
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M79.606Pain in leg, unspecified * Billable
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M79.609Pain in unspecified limb Billable
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M79.621Pain in right upper arm Billable
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M79.622Pain in left upper arm Billable
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M79.629Pain in unspecified upper arm * Billable
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M79.631Pain in right forearm Billable
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M79.632Pain in left forearm Billable
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M79.639Pain in unspecified forearm * Billable
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M79.641Pain in right hand Billable
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M79.642Pain in left hand Billable
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M79.643Pain in unspecified hand * Billable
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M79.644Pain in right finger(s) Billable
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M79.645Pain in left finger(s) Billable
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M79.646Pain in unspecified finger(s) * Billable
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M79.651Pain in right thigh Billable
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M79.652Pain in left thigh Billable
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M79.659Pain in unspecified thigh * Billable
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M79.661Pain in right lower leg Billable
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M79.662Pain in left lower leg Billable
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M79.669Pain in unspecified lower leg * Billable
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M79.671Pain in right foot Billable
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M79.672Pain in left foot Billable
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M79.673Pain in unspecified foot * Billable
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M79.674Pain in right toe(s) Billable
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M79.675Pain in left toe(s) Billable
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M79.676Pain in unspecified toe(s) * Billable
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Other Forms Of Heart Disease
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Urinary Tract Infection, Cystitis
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N30.00Acute cystitis without hematuria Billable
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N30.01Acute cystitis with hematuria Billable
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N30.10Interstitial cystitis (chronic) without hematuria Billable
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N30.11Interstitial cystitis (chronic) with hematuria Billable
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N30.20Other chronic cystitis without hematuria Billable
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N30.21Other chronic cystitis with hematuria Billable
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N30.30Trigonitis without hematuria Billable
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N30.31Trigonitis with hematuria Billable
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N30.40Irradiation cystitis without hematuria Billable
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N30.41Irradiation cystitis with hematuria Billable
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N30.80Other cystitis without hematuria Billable
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N30.81Other cystitis with hematuria Billable
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N30.90Cystitis, unspecified without hematuria Billable
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N30.91Cystitis, unspecified with hematuria Billable
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N39.0Urinary tract infection, site not specified * Billable
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Diabetes Mellitus with Complications Type 2
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E11.1Type 2 diabetes mellitus with ketoacidosis Non-Billable
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E11.10Type 2 diabetes mellitus with ketoacidosis without coma Billable
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E11.11Type 2 diabetes mellitus with ketoacidosis with coma Billable
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E11.2Type 2 diabetes mellitus with kidney complications Non-Billable
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E11.21Type 2 diabetes mellitus with diabetic nephropathy Billable
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E11.22Type 2 diabetes mellitus with diabetic chronic kidney disease Billable
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E11.29Type 2 diabetes mellitus with other diabetic kidney complication Billable
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E11.3Type 2 diabetes mellitus with ophthalmic complications Non-Billable
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E11.31Type 2 diabetes mellitus with unspecified diabetic retinopathy Non-Billable
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E11.311Type 2 diabetes mellitus with unspecified diabetic retinopathy with macular edema Billable
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E11.319Type 2 diabetes mellitus with unspecified diabetic retinopathy without macular edema Billable
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E11.32Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy Non-Billable
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E11.321Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema Non-Billable
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E11.3211Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, right eye Billable
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E11.3212Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, left eye Billable
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E11.3213Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, bilateral Billable
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E11.3219Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy with macular edema, unspecified eye Billable
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E11.329Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema Non-Billable
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E11.3291Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, right eye Billable
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E11.3292Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, left eye Billable
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E11.3293Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, bilateral Billable
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E11.3299Type 2 diabetes mellitus with mild nonproliferative diabetic retinopathy without macular edema, unspecified eye Billable
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E11.33Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy Non-Billable
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E11.331Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema Non-Billable
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E11.3311Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, right eye Billable
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E11.3312Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, left eye Billable
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E11.3313Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, bilateral Billable
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E11.3319Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy with macular edema, unspecified eye Billable
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E11.339Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema Non-Billable
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E11.3391Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, right eye Billable
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E11.3392Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, left eye Billable
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E11.3393Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, bilateral Billable
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E11.3399Type 2 diabetes mellitus with moderate nonproliferative diabetic retinopathy without macular edema, unspecified eye Billable
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E11.34Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy Non-Billable
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E11.341Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema Non-Billable
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E11.3411Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, right eye Billable
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E11.3412Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, left eye Billable
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E11.3413Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, bilateral Billable
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E11.3419Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy with macular edema, unspecified eye Billable
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E11.349Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema Non-Billable
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E11.3491Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, right eye Billable
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E11.3492Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, left eye Billable
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E11.3493Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, bilateral Billable
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E11.3499Type 2 diabetes mellitus with severe nonproliferative diabetic retinopathy without macular edema, unspecified eye Billable
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E11.35Type 2 diabetes mellitus with proliferative diabetic retinopathy Non-Billable
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E11.351Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema Non-Billable
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E11.3511Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, right eye Billable
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E11.3512Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, left eye Billable
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E11.3513Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, bilateral Billable
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E11.3519Type 2 diabetes mellitus with proliferative diabetic retinopathy with macular edema, unspecified eye Billable
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E11.352Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula Non-Billable
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E11.3521Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, right eye Billable
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E11.3522Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, left eye Billable
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E11.3523Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, bilateral Billable
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E11.3529Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment involving the macula, unspecified eye Billable
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E11.353Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula Non-Billable
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E11.3531Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, right eye Billable
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E11.3532Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, left eye Billable
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E11.3533Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, bilateral Billable
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E11.3539Type 2 diabetes mellitus with proliferative diabetic retinopathy with traction retinal detachment not involving the macula, unspecified eye Billable
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E11.354Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment Non-Billable
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E11.3541Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, right eye Billable
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E11.3542Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, left eye Billable
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E11.3543Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, bilateral Billable
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E11.3549Type 2 diabetes mellitus with proliferative diabetic retinopathy with combined traction retinal detachment and rhegmatogenous retinal detachment, unspecified eye Billable
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E11.355Type 2 diabetes mellitus with stable proliferative diabetic retinopathy Non-Billable
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E11.3551Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, right eye Billable
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E11.3552Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, left eye Billable
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E11.3553Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, bilateral Billable
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E11.3559Type 2 diabetes mellitus with stable proliferative diabetic retinopathy, unspecified eye Billable
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E11.359Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema Non-Billable
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E11.3591Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, right eye Billable
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E11.3592Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, left eye Billable
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E11.3593Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, bilateral Billable
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E11.3599Type 2 diabetes mellitus with proliferative diabetic retinopathy without macular edema, unspecified eye Billable
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E11.36Type 2 diabetes mellitus with diabetic cataract Billable
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E11.37Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment Non-Billable
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E11.37X1Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, right eye Billable
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E11.37X2Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, left eye Billable
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E11.37X3Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, bilateral Billable
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E11.37X9Type 2 diabetes mellitus with diabetic macular edema, resolved following treatment, unspecified eye Billable
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E11.39Type 2 diabetes mellitus with other diabetic ophthalmic complication Billable
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E11.4Type 2 diabetes mellitus with neurological complications Non-Billable
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E11.40Type 2 diabetes mellitus with diabetic neuropathy, unspecified Billable
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E11.41Type 2 diabetes mellitus with diabetic mononeuropathy Billable
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E11.42Type 2 diabetes mellitus with diabetic polyneuropathy Billable
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E11.43Type 2 diabetes mellitus with diabetic autonomic (poly)neuropathy Billable
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E11.44Type 2 diabetes mellitus with diabetic amyotrophy Billable
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E11.49Type 2 diabetes mellitus with other diabetic neurological complication Billable
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E11.5Type 2 diabetes mellitus with circulatory complications Non-Billable
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E11.51Type 2 diabetes mellitus with diabetic peripheral angiopathy without gangrene Billable
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E11.52Type 2 diabetes mellitus with diabetic peripheral angiopathy with gangrene Billable
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E11.59Type 2 diabetes mellitus with other circulatory complications Billable
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E11.6Type 2 diabetes mellitus with other specified complications Non-Billable
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E11.61Type 2 diabetes mellitus with diabetic arthropathy Non-Billable
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E11.610Type 2 diabetes mellitus with diabetic neuropathic arthropathy Billable
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E11.618Type 2 diabetes mellitus with other diabetic arthropathy Billable
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E11.62Type 2 diabetes mellitus with skin complications Non-Billable
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E11.620Type 2 diabetes mellitus with diabetic dermatitis Billable
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E11.621Type 2 diabetes mellitus with foot ulcer Billable
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E11.622Type 2 diabetes mellitus with other skin ulcer Billable
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E11.628Type 2 diabetes mellitus with other skin complications Billable
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E11.63Type 2 diabetes mellitus with oral complications Non-Billable
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E11.630Type 2 diabetes mellitus with periodontal disease Billable
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E11.638Type 2 diabetes mellitus with other oral complications Billable
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E11.64Type 2 diabetes mellitus with hypoglycemia Non-Billable
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E11.641Type 2 diabetes mellitus with hypoglycemia with coma Billable
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E11.649Type 2 diabetes mellitus with hypoglycemia without coma Billable
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E11.65Type 2 diabetes mellitus with hyperglycemia Billable
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E11.65Type 2 diabetes mellitus with hyperglycemia Billable
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E11.69Type 2 diabetes mellitus with other specified complication Billable
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E11.69Type 2 diabetes mellitus with other specified complication Billable
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E11.8Type 2 diabetes mellitus with unspecified complications Billable
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E11.9Type 2 diabetes mellitus without complications Billable
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* Codes with a greater degree of specificity should be considered first.
